Diagnostic Strategies for Women with Suspected Coronary Artery Disease
作者:
Christi Deaton,
Cherie Kunik,
Rory Hachamovitch,
Rita Redberg,
Leslee Shaw,
期刊:
The Journal of Cardiovascular Nursing
(OVID Available online 2001)
卷期:
Volume 15,
issue 3
页码: 39-53
ISSN:0889-4655
年代: 2001
出版商: OVID
关键词: coronary artery disease;diagnostic testing;women
数据来源: OVID
摘要:
The clinician evaluating a woman with symptoms potentially indicative of coronary heart disease faces the challenge of choosing the appropriate diagnostic test. The use of noninvasive testing in women has been controversial due to a perception of diminished accuracy, limited female representation, and technical limitations that compromise efficacy. Recent meta-analyses and large observational series report marked improvements in accuracy for women undergoing exercise treadmill, echocardiography, and nuclear testing. Electron beam computed tomography is a relatively new technique, and the body of evidence is still developing. An adequate body of evidence supports the use of noninvasive testing for intermediate risk, symptomatic women and may result in improved diagnostic and therapeutic decision making.
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